Carvajal & Alquiroz Mobile Professionals Inc- a Professional N

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CARVAJAL & ALQUIROZ MOBILE PROFESSIONALS INC- A PROFESSIONAL N

Doing business as

MRC Mobile Medical Group

Practice address

121 W Lexington Dr Ste 303B
Glendale, CA 91203-2203

Phone

(818) 671-0012

Fax

(818) 671-5581

NPI assigned

Aug 7, 2022

Last updated

Oct 10, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ninia R Carvajal, NPNPI 1326535105

Title

Ceo

Phone

(818) 671-0012

Specialties & licenses 1

Addresses

Other names 1

• MRC Mobile Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ninia R Carvajal, N.P.

  • Primary Care Nurse Practitioner
  • Glendale, CA
  • NPI 1326535105
  Medicare reassignment Care Compare group NPD Authorized official
• John Hassan Rastegar, MD

  • Family Medicine Physician
  • La, CA
  • NPI 1609936483
  Medicare reassignment Care Compare group NPD
• Mehrdad Ghahremani-Ghajar, D.O.

  • Internal Medicine Physician
  • Rialto, CA
  • NPI 1942510607
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1164159364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR STE 303B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032203",
            "telephone_number": "818-671-0012",
            "fax_number": "818-671-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR STE 303B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032203",
            "telephone_number": "818-671-0012",
            "fax_number": "818-671-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARVAJAL & ALQUIROZ MOBILE PROFESSIONALS INC- A PROFESSIONAL N",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "NINIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-671-0012",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRC Mobile Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MRC Mobile Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celene Carrara
• Danyelle Carrier
• Bryan Carrillo
• Sarah Rossmiller Carroll, M.D.
• Katherine Cartagena
• Emily Jane Carvajal, FNP-BC
• Ninia R Carvajal, N.P.
• Samuel H. Carvajal, MD
• Erin Kathleen Casey, LCSW
• Paulina Isabel Castaneda Cedillo

• Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.